Anxiety Therapists in West Point, NY

Photo of Jennifer DiGiovanni, LCSW-R, Clinical Social Work/Therapist
Jennifer DiGiovanni
Clinical Social Work/Therapist, LCSW-R
Verified Verified
West Point, NY 10996  (Online Only)
I have assisted my clients with a wide variety of mental health issues in my general practice, however, I specialize in treating depression, anxiety, trauma and relationship/marital issues.
Finding a therapist that you connect with, who understands you, is the one of the first important steps in your journey of healing and change. I would love the opportunity to help you in that journey. In my twenty years experience, practicing in the mental health field, I have used a cognitive-behavioral approach, coupled with a strengths-based philosophy, to partner with my clients, creating a trusting, non-judgmental environment. Together we can work towards having you let go of destructive thoughts, feelings and experiences that have prevented you from living the life you want.
I have assisted my clients with a wide variety of mental health issues in my general practice, however, I specialize in treating depression, anxiety, trauma and relationship/marital issues.
Finding a therapist that you connect with, who understands you, is the one of the first important steps in your journey of healing and change. I would love the opportunity to help you in that journey. In my twenty years experience, practicing in the mental health field, I have used a cognitive-behavioral approach, coupled with a strengths-based philosophy, to partner with my clients, creating a trusting, non-judgmental environment. Together we can work towards having you let go of destructive thoughts, feelings and experiences that have prevented you from living the life you want.
(631) 714-2877 View (631) 714-2877
Photo of Tracie Marie Caccavale - Hudson Valley Teletherapy , PhD, Psychologist
Hudson Valley Teletherapy
Psychologist, PhD
Verified Verified
West Point, NY 10996
Currently, accepting teletherapy clients. May accept some insurances. Rates are $100 an hour. Over 25 years of experience with all different age groups and types of clients. For individual therapy I tailor an individual approach to each client and focus on how to best work with my clients in order to improve their lives whether through cognitive behavioral therapy or any other therapy that produces the results we are looking for. We are in this together and I hope to aid you in working towards a better tomorrow. I am currently specializing with all ages groups in trauma therapy, although I am open to any type of issue.
Currently, accepting teletherapy clients. May accept some insurances. Rates are $100 an hour. Over 25 years of experience with all different age groups and types of clients. For individual therapy I tailor an individual approach to each client and focus on how to best work with my clients in order to improve their lives whether through cognitive behavioral therapy or any other therapy that produces the results we are looking for. We are in this together and I hope to aid you in working towards a better tomorrow. I am currently specializing with all ages groups in trauma therapy, although I am open to any type of issue.
(845) 472-4813 View (845) 472-4813
Photo of Marian E Dunn, LCSW, PhD, Clinical Social Work/Therapist
Marian E Dunn
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
1 Endorsed
West Point, NY 10996
I offer brief effective counseling for relationship and sexual enhancement. For forty years, I've been helping individuals and couples to meet their goals: better communication, less conflict, greater intimacy and a better sexual life.I take a fresh approch to everyone to find the most efficient yet sensitive way to help. My training in Psychotherapy, Family and Relationship Therapy and Sex Therapy allows me a full range of skills to improve your life.I have experience working with persons of various religious and cultural traditions and work with people of all ages and sexual orientations. Check out www.mariandunn.com
I offer brief effective counseling for relationship and sexual enhancement. For forty years, I've been helping individuals and couples to meet their goals: better communication, less conflict, greater intimacy and a better sexual life.I take a fresh approch to everyone to find the most efficient yet sensitive way to help. My training in Psychotherapy, Family and Relationship Therapy and Sex Therapy allows me a full range of skills to improve your life.I have experience working with persons of various religious and cultural traditions and work with people of all ages and sexual orientations. Check out www.mariandunn.com
(914) 618-3159 View (914) 618-3159
Photo of Joanne M Washington - Psychotherapy & Mediation, P.C., LCSW-R
Psychotherapy & Mediation, P.C.
LCSW-R
Verified Verified
West Point, NY 10996
NO "Psycho-Babble"(tm) ... HONEST! We provide a safe, secure, candid setting for you to open up about your deepest concerns. Your commitment to YOU is the first step.
NO "Psycho-Babble"(tm) ... HONEST! We provide a safe, secure, candid setting for you to open up about your deepest concerns. Your commitment to YOU is the first step.
(914) 372-0485 View (914) 372-0485

More Therapists Nearby

Photo of Joseph Ramsey, LCSW, Clinical Social Work/Therapist
Joseph Ramsey
Clinical Social Work/Therapist, LCSW
Verified Verified
Highland Falls, NY 10928  (Online Only)
Hello, my name is Joseph Ramsey and I am a Licensed Clinical Social Worker (LCSW). I have 23 years of experience in the field and 16 of those 23 years has been spent providing counseling services to families, individuals, and couples. My approach is collaborative and I firmly believe in honesty and transparency. My focus areas are anxiety, depression, problems related to anxiety and depression (i.e. obsessive compulsive disorder) and trauma. I am most comfortable treating anxiety, depression, obsessive compulsive disorders, bipolar I and II, mood disorders, grief, complex trauma, and anger issues.
Hello, my name is Joseph Ramsey and I am a Licensed Clinical Social Worker (LCSW). I have 23 years of experience in the field and 16 of those 23 years has been spent providing counseling services to families, individuals, and couples. My approach is collaborative and I firmly believe in honesty and transparency. My focus areas are anxiety, depression, problems related to anxiety and depression (i.e. obsessive compulsive disorder) and trauma. I am most comfortable treating anxiety, depression, obsessive compulsive disorders, bipolar I and II, mood disorders, grief, complex trauma, and anger issues.
(646) 374-2056 View (646) 374-2056
Photo of Sixuan Bao, LCSW, Clinical Social Work/Therapist
Sixuan Bao
Clinical Social Work/Therapist, LCSW
Verified Verified
Highland Falls, NY 10928
I am a licensed therapist in New York with 9 years of experience helping clients manage stress and anxiety, relationship issues, trauma and abuse, career coaching, and enhancing motivation, self-esteem, and confidence. I believe you are the expert of your own story and possess many strengths that will help you overcome life's challenges. Taking the first step toward a more fulfilling and happier life takes courage, and I am here to support you in that journey.
I am a licensed therapist in New York with 9 years of experience helping clients manage stress and anxiety, relationship issues, trauma and abuse, career coaching, and enhancing motivation, self-esteem, and confidence. I believe you are the expert of your own story and possess many strengths that will help you overcome life's challenges. Taking the first step toward a more fulfilling and happier life takes courage, and I am here to support you in that journey.
(646) 718-6375 View (646) 718-6375
Photo of Heather Anne Zuckerman, LCSW, Clinical Social Work/Therapist
Heather Anne Zuckerman
Clinical Social Work/Therapist, LCSW
Verified Verified
Garrison, NY 10524
I can help you gain clarity about your anxiety, worry, and stress and work on prioritizing what to focus on first.
Transitions are difficult and overwhelming at any age. You feel stuck, and unable to think clearly. Anxiety, depression, mood swings, and the heavy weight of stress may be getting in the way of your best self. Picture what it would look like to have a more positive, and stress-free life where you can move forward. I work with children and adults through issues that are causing anger, mood swings and problems with friends and relationships.
I can help you gain clarity about your anxiety, worry, and stress and work on prioritizing what to focus on first.
Transitions are difficult and overwhelming at any age. You feel stuck, and unable to think clearly. Anxiety, depression, mood swings, and the heavy weight of stress may be getting in the way of your best self. Picture what it would look like to have a more positive, and stress-free life where you can move forward. I work with children and adults through issues that are causing anger, mood swings and problems with friends and relationships.
(914) 598-9093 View (914) 598-9093
Photo of Roberta E Goldman, PhD, Limited Licensed Psychologist
Roberta E Goldman
Limited Licensed Psychologist, PhD
Verified Verified
Cold Spring, NY 10516
I believe that in order to be healthy, we need to be able to work, to love, and to play. If you are overwhelmed with anxiety or feelings of being lost, unsure of what you want, feeling less than whole, finding yourself procrastinating when you don't know why, or having repeated difficulty in relationships, I am hopeful you have come to the right place. By looking closely at what may be holding you back, we will be able to understand it with fresh eyes. This can lead you to your goals of relief from suffering, a greater sense of choice, and more freedom to express the self you most want to be.
I believe that in order to be healthy, we need to be able to work, to love, and to play. If you are overwhelmed with anxiety or feelings of being lost, unsure of what you want, feeling less than whole, finding yourself procrastinating when you don't know why, or having repeated difficulty in relationships, I am hopeful you have come to the right place. By looking closely at what may be holding you back, we will be able to understand it with fresh eyes. This can lead you to your goals of relief from suffering, a greater sense of choice, and more freedom to express the self you most want to be.
(914) 506-5174 View (914) 506-5174
Photo of Amy Rubin Morey, MS, LMHC, BCB, Counselor
Amy Rubin Morey
Counselor, MS, LMHC, BCB
Verified Verified
Cold Spring, NY 10516
I have experience working with a wide range of issues, including depression, anxiety, stress related disorders, Type A personalities and relationships.
Life can be very challenging at times and our usual way of managing doesn't work as effectively as it used to. Our coping skills aren't helping us to feel a sense of control and well-being and we end up feeling overwhelmed, stuck, anxious, we can't sleep well, we under eat or overeat, experience mood changes and possible difficulties managing work, relationships and home life. I am committed to helping you understand what you are going through, developing strategies to make changes, assisting you with stress reduction so that you feel more comfortable within yourself and your life.
I have experience working with a wide range of issues, including depression, anxiety, stress related disorders, Type A personalities and relationships.
Life can be very challenging at times and our usual way of managing doesn't work as effectively as it used to. Our coping skills aren't helping us to feel a sense of control and well-being and we end up feeling overwhelmed, stuck, anxious, we can't sleep well, we under eat or overeat, experience mood changes and possible difficulties managing work, relationships and home life. I am committed to helping you understand what you are going through, developing strategies to make changes, assisting you with stress reduction so that you feel more comfortable within yourself and your life.
(516) 252-0748 View (516) 252-0748
Photo of Ashley Fellows, LCSW, Clinical Social Work/Therapist
Ashley Fellows
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cold Spring, NY 10516
Imagine taking an hour for yourself or your child to feel better! To slow down and learn tools to handle depression, anxiety, school, work and your relationships.
Isn’t this the worst?! Has something just happened and you feel like you’ve had enough and are going to try therapy? At some point in our lives we have all felt not good enough, not like ourselves or worried about the future or social situations. It can be really painful to go through your daily life feeling overwhelmed and inadequate.
Imagine taking an hour for yourself or your child to feel better! To slow down and learn tools to handle depression, anxiety, school, work and your relationships.
Isn’t this the worst?! Has something just happened and you feel like you’ve had enough and are going to try therapy? At some point in our lives we have all felt not good enough, not like ourselves or worried about the future or social situations. It can be really painful to go through your daily life feeling overwhelmed and inadequate.
(914) 418-4000 View (914) 418-4000
Photo of Alexandra Sallese Devin, LCAT, RDT, Art Therapist
Alexandra Sallese Devin
Art Therapist, LCAT, RDT
Verified Verified
3 Endorsed
Garrison, NY 10524
Does anxiety, stress, and/or depression have you longing for positive change and reconnection to the world? I am a licensed psychotherapist helping adults find balance and direction in their personal and professional lives. I will guide your discovery of yourself, helping you to blossom into a more fulfilled human being. Most of my current patients and clients are struggling with anxiety, depression, poor body image, difficult relationships, or past trauma. We can work towards goals of healthy relationships, personal growth, job changes, parenthood, and overall life satisfaction. Together, we journey towards mental health and wellness.
Does anxiety, stress, and/or depression have you longing for positive change and reconnection to the world? I am a licensed psychotherapist helping adults find balance and direction in their personal and professional lives. I will guide your discovery of yourself, helping you to blossom into a more fulfilled human being. Most of my current patients and clients are struggling with anxiety, depression, poor body image, difficult relationships, or past trauma. We can work towards goals of healthy relationships, personal growth, job changes, parenthood, and overall life satisfaction. Together, we journey towards mental health and wellness.
(347) 647-9653 View (347) 647-9653
Photo of Jenny Kaplan, LCSW, Clinical Social Work/Therapist
Jenny Kaplan
Clinical Social Work/Therapist, LCSW
Verified Verified
Cold Spring, NY 10516
I am experienced and trained in blending psychodynamic approaches with evidence-based practices to treat anxiety, stress, depression, and trauma.
I'm glad you've found yourself here. Acknowledging that you need support right now is the first step. Life and relationships can be complex and I find that it is often helpful have a neutral person to offer a listening ear, guidance, and to facilitate a process of gaining more insight about who you are and what you need. My role would be to help you work towards your goals, which may include building self-compassion, identifying and regulating uncomfortable emotions, processing old trauma, changing negative thoughts and patterns, overcoming challenges, strengthening relationships, implementing new coping skills.
I am experienced and trained in blending psychodynamic approaches with evidence-based practices to treat anxiety, stress, depression, and trauma.
I'm glad you've found yourself here. Acknowledging that you need support right now is the first step. Life and relationships can be complex and I find that it is often helpful have a neutral person to offer a listening ear, guidance, and to facilitate a process of gaining more insight about who you are and what you need. My role would be to help you work towards your goals, which may include building self-compassion, identifying and regulating uncomfortable emotions, processing old trauma, changing negative thoughts and patterns, overcoming challenges, strengthening relationships, implementing new coping skills.
(845) 251-4058 View (845) 251-4058
Photo of Drena Fagen - New York Creative Therapists , LCSW-R, LCAT, Clinical Social Work/Therapist
New York Creative Therapists
Clinical Social Work/Therapist, LCSW-R, LCAT
Verified Verified
Cold Spring, NY 10516
Updated Sept 2023 • Openings in-person in Williamsburg, Brooklyn • Openings for Telehealth • Waitlist for our Cold Spring office • Therapy for Adults, Teens, Children 6-11, Parents and Families. Improve relationships, reduce anxiety, learn to regulate emotions, process traumatic events and reconnect to your own sense of competence and worth. We help people live happier, better connected, productive lives by combining the arts with proven psychotherapy treatment. In business for 16 years, we are licensed to practice psychotherapy and creative arts therapies.
Updated Sept 2023 • Openings in-person in Williamsburg, Brooklyn • Openings for Telehealth • Waitlist for our Cold Spring office • Therapy for Adults, Teens, Children 6-11, Parents and Families. Improve relationships, reduce anxiety, learn to regulate emotions, process traumatic events and reconnect to your own sense of competence and worth. We help people live happier, better connected, productive lives by combining the arts with proven psychotherapy treatment. In business for 16 years, we are licensed to practice psychotherapy and creative arts therapies.
(917) 293-4642 View (917) 293-4642
Photo of Michael McKee, PhD, Psychologist
Michael McKee
Psychologist, PhD
Verified Verified
Garrison, NY 10524  (Online Only)
I specialize in the treatment of anxiety disorders and depression. I am trained in the use of effective treatments, which are based on sound research. Social anxiety, panic attacks, worry, obsessive-compulsive disorder, coping with health problems or excessive health concerns, understanding emotions are all treated in an atmosphere of careful collaboration and empathy. I rely on a patient-centered approach that takes into account clients' lifestyles to set attainable goals.
I specialize in the treatment of anxiety disorders and depression. I am trained in the use of effective treatments, which are based on sound research. Social anxiety, panic attacks, worry, obsessive-compulsive disorder, coping with health problems or excessive health concerns, understanding emotions are all treated in an atmosphere of careful collaboration and empathy. I rely on a patient-centered approach that takes into account clients' lifestyles to set attainable goals.
(845) 201-9085 View (845) 201-9085
Photo of Susan L Davidson, LMSW, ACCEP, Clinical Social Work/Therapist
Susan L Davidson
Clinical Social Work/Therapist, LMSW, ACCEP
Verified Verified
1 Endorsed
Highland Falls, NY 10928
As an Advanced Certified Core Energetics Practitioner, I work with clients who are looking for a better way of being and living. We often have challenges with depression, anxiety, shame, fear, and traumas, and some of us look for something more out of life, asking, "Is this all there is?" Talk therapy can be valuable in gaining a cognitive understanding of WHY you feel as you do, and it can provide some relief. But how much does it change your lived experience? Core Energetics involves work processing thoughts, feelings, and emotions through your body in a way that releases "stuckness" and energy for purposes that you direct.
As an Advanced Certified Core Energetics Practitioner, I work with clients who are looking for a better way of being and living. We often have challenges with depression, anxiety, shame, fear, and traumas, and some of us look for something more out of life, asking, "Is this all there is?" Talk therapy can be valuable in gaining a cognitive understanding of WHY you feel as you do, and it can provide some relief. But how much does it change your lived experience? Core Energetics involves work processing thoughts, feelings, and emotions through your body in a way that releases "stuckness" and energy for purposes that you direct.
(845) 859-7573 View (845) 859-7573
Photo of Jane Wilson Cathcart, LCSW-R, BC-DMT, CMA, Clinical Social Work/Therapist
Jane Wilson Cathcart
Clinical Social Work/Therapist, LCSW-R, BC-DMT, CMA
Verified Verified
Cold Spring, NY 10516
Are you feeling stuck? Many people seek therapy when they are lacking energy or direction in some aspect of their life. Sometimes sadness won't leave. Or anxiety grows. Often past hurt and trauma interferes with daily life. Or it is difficult to negotiate one of life's transitions: finding or changing work life; partnering/marrying; moving/settling; separating/divorcing: birth; aging; illness and pain, or death of a loved one. Whatever the reason for seeking help we decide on the goals, charting a clear path for the journey to emotional health and greater satisfaction in life.
Are you feeling stuck? Many people seek therapy when they are lacking energy or direction in some aspect of their life. Sometimes sadness won't leave. Or anxiety grows. Often past hurt and trauma interferes with daily life. Or it is difficult to negotiate one of life's transitions: finding or changing work life; partnering/marrying; moving/settling; separating/divorcing: birth; aging; illness and pain, or death of a loved one. Whatever the reason for seeking help we decide on the goals, charting a clear path for the journey to emotional health and greater satisfaction in life.
(646) 606-2492 View (646) 606-2492
Photo of Riana Justusson, LMSW, Clinical Social Work/Therapist
Riana Justusson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Garrison, NY 10524
I have extensive experience working with veterans living with PTSD, individuals and their family members navigating cancer treatment, end-of-life care, and grief, individuals currently living in or who have a history of abusive relationships, including coping with recent experiences of assault, as well as individuals experiencing anxiety, and depression.
The therapy I practice aims to explore the way in which our layers of experience inform the way we interact with ourselves and the world around us. Through our work together, we will acknowledge and understand the destructive forces that often lay outside of our awareness while identifying and strengthening the constructive forces each of us embody. I strive to provide a safe and nonjudgmental environment where my clients can experiment with thoughts, ideas, and perspectives to bring about clarity, confidence, and authenticity. I enjoy supporting individuals who are looking to experience a deeper understanding of themselves.
I have extensive experience working with veterans living with PTSD, individuals and their family members navigating cancer treatment, end-of-life care, and grief, individuals currently living in or who have a history of abusive relationships, including coping with recent experiences of assault, as well as individuals experiencing anxiety, and depression.
The therapy I practice aims to explore the way in which our layers of experience inform the way we interact with ourselves and the world around us. Through our work together, we will acknowledge and understand the destructive forces that often lay outside of our awareness while identifying and strengthening the constructive forces each of us embody. I strive to provide a safe and nonjudgmental environment where my clients can experiment with thoughts, ideas, and perspectives to bring about clarity, confidence, and authenticity. I enjoy supporting individuals who are looking to experience a deeper understanding of themselves.
(845) 250-0446 View (845) 250-0446
Photo of Max Cutler, LCSW, Clinical Social Work/Therapist
Max Cutler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Garrison, NY 10524
I provide trauma-focused individual and EMDR therapy to adolescents and adults (ages 16 an up) who struggle with anxiety, depression, panic, trust/abandonment issues, relationship problems including codependency/intimacy dysfunction, self esteem/identity issues and symptoms related to childhood trauma which can include: flashbacks, nightmares/night terrors, sleep distrubance, avoidance of trauma-related stimuli and hypervigilance.
I provide trauma-focused individual and EMDR therapy to adolescents and adults (ages 16 an up) who struggle with anxiety, depression, panic, trust/abandonment issues, relationship problems including codependency/intimacy dysfunction, self esteem/identity issues and symptoms related to childhood trauma which can include: flashbacks, nightmares/night terrors, sleep distrubance, avoidance of trauma-related stimuli and hypervigilance.
(917) 775-0235 View (917) 775-0235
Photo of Lourdes Laifer - Lourdes Laifer Coaching
Lourdes Laifer Coaching
Verified Verified
1 Endorsed
Cold Spring, NY 10516  (Online Only)
Do you feel "stuck" in a job or relationship that is draining the life out of you? Do you feel there’s something more in life for you? Do you worry that you're not fulfilling your potential? Are you afraid of making a change despite being desperately unhappy with your current situation? I specialize in helping my clients through transitions, life stage issues, and the associated stress, anxiety, and overwhelm. I also help with body image and food issues that distress many clients. My unique combination of strategies help my clients believe in their abilities, take control of their lives, and flourish. Visit LourdesLaiferCoaching.com
Do you feel "stuck" in a job or relationship that is draining the life out of you? Do you feel there’s something more in life for you? Do you worry that you're not fulfilling your potential? Are you afraid of making a change despite being desperately unhappy with your current situation? I specialize in helping my clients through transitions, life stage issues, and the associated stress, anxiety, and overwhelm. I also help with body image and food issues that distress many clients. My unique combination of strategies help my clients believe in their abilities, take control of their lives, and flourish. Visit LourdesLaiferCoaching.com
(845) 720-4178 View (845) 720-4178
Photo of Dr. Alessandra Bryant, PhD, LMFT, Marriage & Family Therapist
Dr. Alessandra Bryant
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Cold Spring, NY 10516
Do you feel under appreciated? Do you wish he could break the cycle of negative behavior? Does she constantly keep criticizing? Do you experience anxiety and distrust? Lack of intimacy and sexual desire? I am a marriage and family therapist with specialized training and experience in couple therapy. Nothing you say will surprise or shock me. I am easy to talk to and skilled at creating tools to help couples maintain healthy relationships.   Together, We repair your relationship by introducing new communication methods and understanding that promote empathy and flexibility.
Do you feel under appreciated? Do you wish he could break the cycle of negative behavior? Does she constantly keep criticizing? Do you experience anxiety and distrust? Lack of intimacy and sexual desire? I am a marriage and family therapist with specialized training and experience in couple therapy. Nothing you say will surprise or shock me. I am easy to talk to and skilled at creating tools to help couples maintain healthy relationships.   Together, We repair your relationship by introducing new communication methods and understanding that promote empathy and flexibility.
(646) 917-9658 View (646) 917-9658

See more therapy options for West Point

Anxiety Therapists

What are the most common treatments for anxiety?

Talk therapy, particularly cognitive behavioral therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other popular forms of therapy are popular, depending on a patient’s experience. Exposure therapy, for instance, can be useful for people dealing with fears and phobias, or who have experienced traumatic events. Dialectical Behavioral Therapy may be useful for patients who need help with emotion regulation. Anxiolytic medications, like benzodiazepines, can also help with calming a person enough to focus on the skills they’ve learned, and physical exercise has been shown to help symptoms of anxiety across the board.

How long does therapy for anxiety take to work?

The amount of time needed to alleviate symptoms depends on the severity of a person’s condition. Some therapies may take 5-20 weekly sessions to show results. Anti-depressant medications typically take two to four weeks before a benefit is felt. Anti-anxiety medications are felt typically within 20-30 minutes. Medications are best used to offer a patient a better headspace in which to work on techniques learned in therapy. Exercise, improved sleep habits, and meditation are effective, but takes weeks or months to show results.

When should I seek treatment for anxiety?

Everyone feels anxious at times, but when anxiety causes disruption to your daily life, it may be time to seek help. Such disruption can be mental, physical, or both: having fear dominate your thoughts, avoiding situations or objects that bring on feelings of anxiety, or experiencing shortness of breath, sweating, dizziness, or panic attacks. When these symptoms are recurrent and distressing, it may be time to talk to someone.

How effective is treatment for anxiety?

Treatment for anxiety has been shown to be moderately to highly effective, according to a large body of psychology studies and analyses. For some people, treatment using CBT or exposure therapy alone is effective. Others respond best to a combination of medication and therapy.